Category: medications

Depression: A Few Questions

Here are things I’ve heard over the years that we must take a second look at. Here are some possible answers.

“There must be something wrong with your spiritual life.”

Yes, depression CAN be a result of sin. BUT depression is NOT always a result of sin! If it is, God will tell you loud and clear what the problem is. This saying piles on the guilt for the depressed Christian. It’s unlikely that their depression has a spiritual cause, and this implies that they are not good enough spiritually.  

“Repent and ask forgiveness for your sin!”

Depression is a result of sin, in that if there was no sin in the world depression wouldn’t exist. But then, neither would diabetes, cancer, or any other illness… Sin caused the world to be not-perfect, therefore illness exists. It’s a sin to be depressed, any more than it is to have any other illness. Depression can be used by God to encourage repentance, but in that case, it will be crystal clear exactly what sin you should repent of. If you don’t know or have just a vague sense of guilt, your depression is not the result of sin. 

“You need to have more faith.” or  “Have faith in God.”

Hebrews 11:1, “Now faith is the substance of things hoped for, the evidence of things not seen.” How much faith does it take to hold onto the Christian faith when emotions scream at you daily to give up, get out and turn against God? Very often a depressed Christian will be hanging onto faith by their fingernails in something that requires a ton of faith.  

“Taking antidepressants is playing God, He can heal you.”

Yes, God can heal. Sometimes he doesn’t just flick a switch to make the illness vanish, sometimes the healing comes through the conventional ways of doctors, psychiatrists, counselors, therapists, and medication. By persuading someone not to take their medicines in preference for a quick, supernatural healing that God may not have in store for them, the sufferer is being denied something that will help them, right now. 

“Scripture says everything that happens is for your own good!”

The actual verse found in Romans 8:28, “And we know that in all things God works for the good of those who love him, who have been called according to his purpose.” This verse in no way implies that the sufferer should sit back and accept the illness for the rest of their life. It also does not say that illnesses are not to be fought with the intention of a cure. While God may well have things to do with a depressed person, the illness is not a good thing itself, and it may take years before you see positive results from it.  

“You’ve been prayed for, why has nothing changed?”

This can be expressed in several ways and spoken by one of two different groups of people: either the person who asked for prayer or those who prayed for them. We’ll break the underlying situation into two areas: something definite was experienced in the prayer time: chains were obviously broken and new freedom gained, or, nothing apparently happened at all. That is, “I know God set you free,” why aren’t you free yet?

“Depression is a self-discipline problem.”

Self-discipline is important to a Christian. We have to be disciplined enough not to break the laws of the land, and to obey our God. But no amount of discipline will get rid of a medical problem. This statement implies that the sufferer is lazy and could become better by sheer force of will. This is not possible and causes a lot of guilt.

“You’re depressed because you choose to be.” 

Why would anyone choose depression? It is hell on earth. It destroys everything it touches. Families, marriages, jobs, churches, and ministries- faith, peace, hope, and love. Depression corrodes all that it touches.

Does a diabetic or cancer patient choose their disease? Does the blind or the deaf person wake up in the morning and decide they aren’t going to keep being handicapped? These are the questions I would ask.

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“You just need to rebuke that spirit of depression and tell it to leave you. Don’t let Satan steal your joy.”

There are two problems with this statement. One problem is the assumption that depression is caused by demonic oppression. The other problem is the assumption that joy and happiness are the same things. Blaming a “spirit of depression” can be a wonderful cop-out. Just cast out the spirit and you’re cured! No need for long-term support, prayer, counseling, or anything at all! And with this statement comes the implicit assumption that once again it’s your fault you’re depressed, this time because you’re not “spiritual” enough to get rid of the troublesome spirit yourself.

Yes, it is possible that demonic oppression can cause depression. No, demons are not responsible for every case of depression. Imagine what would happen if this statement was directed at someone with cancer, hemophilia, or osteoporosis (“Just cast out that demon attacking your bones and be strong again! God wants to see you running marathons!”).

The second problem with this statement is that joy is equated with happiness. People with depression are not going to be the happiest souls in the church. I’ve heard it said that happiness depends on what happens, whereas joy can exist in very unhappy situations.

“There’s no such thing as mental illness, it’s all in your mind”

Saying this denies that there is anything actually wrong with the depressed person, and implies that they are just making it up. This piles on the guilt again! A mental illness can be defined as one that affects the mind; the brain is allowed to get ill, just as the liver and lungs are.

“It’s your own fault you’re depressed”

This is the kind of thing that Job’s “comforters” said, and it didn’t help then either. Bad things can happen to good people. Denying this hurts the sufferer.

“Pull yourself together”

If you’ve been trying, someone saying this to you comes across as “You haven’t been trying hard enough, do more, and more, and more until you get it right.” So back you go, pushing more and more, and still getting nowhere because you cannot pull yourself out of depression by your bootstraps, and you can’t fix a medical problem by force of will.

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“Darkness is My Only Companion”

“Lord Jesus Christ, you are for me medicine when I am sick; you are my strength when I need help; you are life itself when I fear death; you are the way when I long for heaven; you are light when all is dark; you are my food when I need nourishment.”

—Ambrose of Milan (340-397)

Our theology makes all the difference in fighting depression, writes Kathryn Greene-McCreight, Author of “Darkness, Is My Only Companion” and Episcopal priest.

Here is an excerpt where she introduces the depression of Christians:

In his Problem of Pain, C. S. Lewis says that suffering is uniquely difficult for the Christian, for the one who believes in a good God. If there were no good God to factor into the equation, suffering would still be painful, and  ultimately meaningless.

For the Christian, who believes in the crucified and risen Messiah, suffering is always meaningful. It is meaningful because of the one in whose suffering we participate, Jesus. This is neither to say, of course, that suffering will be pleasant, nor that it should be sought. Rather, in the personal suffering of the Christian, one finds a correlate in Christ’s suffering, which gathers up our tears and calms our sorrows and points us toward his resurrection.

In the midst of a major mental illness, we are often unable to sense the presence of God at all. Sometimes all we can feel is the complete absence of God, utter abandonment by God, the sheer ridiculousness of the very notion of a loving and merciful God. This cuts to the very heart of the Christian and challenges everything we believe about the world and ourselves.

I have a chronic mental illness, a brain disorder that used to be called manic depression, but now is less offensively called bipolar disorder. I have sought help from psychiatrists, social workers, and mental health professionals; one is a Christian, but most of my helpers are not. I have been in active therapy with a succession of therapists over many years, and have been prescribed many psychiatric medications, most of which brought quite unpleasant side effects, and only a few of which relieved my symptoms. I have been hospitalized during the worst times and given electroconvulsive therapy treatments.

All of this has helped, I must say, despite my disinclination toward medicine and hospitals. They have helped me to rebuild some of “myself,” so that I can continue to be the kind of mother, priest, and writer I believe God wants me to be.

During these bouts of illness, I would often ask myself: How could I, as a faithful Christian, be undergoing such torture of the soul? And how could I say that such torture has nothing to do with God? This is, of course, the assumption of the psychiatric guild in general, where faith in God is often viewed at best as a crutch, and at worst as a symptom of disease.

How could I, as a Christian, indeed as a theologian of the church, understand anything in my life as though it were separate from God? This is clearly impossible. And yet how could I confess my faith in that God who was “an ever-present help in trouble” (Ps. 46:1) when I felt entirely abandoned by that God? And if this torture did have something to do with God, was it punishment, wrath, or chastisement? Was I, to use a phrase of Jonathan Edwards’s, simply a “sinner in the hands of an angry God”?

I started my journey into the world of mental illness with a postpartum depression after the birth of our second child. News outlets are rife with stories of women who destroy their own children soon after giving birth. It is absolutely tragic. Usually every instinct in the mother pushes toward preserving the life of the infant. Most mothers would give their own lives to protect their babies. But in postpartum depression, reality is so bent that that instinct is blocked. Women who would otherwise be loving mothers have their confidence shaken by painful thoughts and feelings.

Depression is not just sadness or sorrow.

When I am depressed, every thought, every breath, every conscious moment hurts.

And often the opposite is the case when I am hypomanic: I am scintillating both to myself, and, in my imagination, to the whole world. But mania is more than speeding mentally, more than euphoria, more than creative genius at work. Sometimes, when it tips into full-blown psychosis, it can be terrifying. The sick individual cannot simply shrug it off or pull out of it: there is no pulling oneself “up by the bootstraps.”

And yet the Christian faith has a word of real hope, especially for those who suffer mentally. Hope is found in the risen Christ. Suffering is not eliminated by his resurrection, but transformed by it. Christ’s resurrection kills even the power of death, and promises that God will wipe away every tear on that final day.

But we still have tears in the present.

We still die. In God’s future, however, death itself will die. The tree from which Adam and Eve took the fruit of their sin and death becomes the cross that gives us life.

The hope of the Resurrection is not just optimism, but keeps the Christian facing ever toward the future, not merely dwelling in the present. But the Christian hope is not only for the individual Christian, nor for the church itself, but for all of Creation, bound in decay by that first sin: “Cursed is the ground because of you … It will produce thorns and thistles for you …” (Gen. 3:17-18).

This curse of the very ground and its increase will be turned around at the Resurrection. All Creation will be redeemed from pain and woe. In my bouts with mental illness, this understanding of Christian hope gives comfort and encouragement, even if no relief from symptoms. Sorrowing and sighing will be no more. Tears will be wiped away. Even fractious [unruly, irritable] brains will be restored.

“Darkness: My Only Companion”

Kathryn Greene-McCreight is assistant priest at St. John’s Episcopal Church in New Haven, Connecticut, and author of Darkness Is My Only Copanion: A Christian Response to Mental Illness (Brazos Press, 2006).

Click to read Psalm 88

Making a List

This is a scary list. We’re told repeatedly that love is the evidence that disciples are to be identified. Love is the blood of the body. It’s that necessary. It’s critical. We’re called to love (one another) that proves we’re real and authentic.

Some of us are handicapped, either mentally or physically. Our issues are truly formidable, very few understand.

I pretty much live in physical pain now. I struggle with depression. I have some battles that few understand. And I get terribly self-absorbed by all of it. If love is the blood of the Christian then I absolutely need a transfusion. I’m anemic. I’m the proverbial 95 pound spiritual weakling! 😁

“Love one another.” I believe I’m missing this in my spiritual walk. For the most part I operate as “to tolerate one another.” It’s easy to love those who love me, but that’s not how discipleship to Jesus works. He wants us to find enemies to love. (At least I think it does.)

Our Teacher, the Holy Spirit, knows how ignorant we really are. But He is patient and oh so very kind. He has lessons that fit us and our needs. I want to love (usually) and I’m counting on Him to tutor me. How do I do this?

You learn to love by loving.

A few things (I know it’s a terribly incomplete list):

  • To love you must walk in discernment. Learn to “see” the needs of specific people. Contrary to church opinion, discernment is not to pass judgement on another, rather it’s all about seeing needs. Not everyone can do this.
  • To love takes availability. You need to be “ready for use.” This takes a certain amount of skill. I’m a terrible kind of introvert. Sometimes I won’t answer the phone or go to a home group. I sorta resent it. The Spirit keeps putting me in spots that require interaction with others, and I hate it.
  • Love creates humility in us (which takes some doing). As I learn to love I find myself stripped down and washing somebody’s feet. I become a servant who is learning to scrub between the toes if that’s what it takes.
  • To love you must love others just like Jesus loves you. (Yikes!) “The extra mile,” all of that. So tell me, how much has He loved you? Isn’t that supposed to teach you something? Remember, love is a fruit of Him living inside of you.
  • To love creates growing joy. This joy will protect us from legalism. When joy is operational every burden is light–we do our tasks smiling. I heard a preacher speak about J.O.Y. Jesus, Others, and You. In order of importance.
  • To love is to learn how to pray. Intercession is like oxygen to a fire. It’s like one of those old fashioned bellows to a sputtering flame. It pumps air into the pile of twigs and wood to spread the fire and ignite a blaze. We pray and love starts spreading.

To live with hard mental and physical issues as an authentic Christian is profoundly difficult. We get so self-absorbed at times. But being a disciple of love isn’t just for healthy believers, it’s also for us who struggle.

Grace is increased exponentially to those of us with deep physical problems.

I totally believe this. God takes special care as He works on and in us. We can count on Him to give us the extra attention we need as we learn love.

I’ve found that suffering is like learning another language. Changed by His love we are speaking to others in a way they understand. We can communicate with others because we’ve learned how to “speak their language.” We have been taught by God to speak into broken lives because we’ve been broken too.

“We love because he first loved us.”

1 John 4:19

2 Corinthians 12:9

Empty Broken, Here I Stand

Cambridge, UK

In June of 2002, I journeyed from Alaska to Cambridge, England. It was there I somehow found myself on the streets talking to myself; alone, disoriented and quite lost.

I wasn’t taking my medication.

I had just been released from a hospital in Anchorage, Alaska and was under the care of a psychiatrist. I headed out without his approval..And so here I am now all alone in a country I had never visited before. My confusion was profound. I was desperate and mentally ill.

I noticed the stares and the whispers as wandered the streets.

Or maybe it was just my raging paranoia. But yet there’s more. Much more.  On just a mildly benign occasion I wandered into the English version of a Wal-mart. I was in a dreary daze, but I thought I ‘heard’ a 5 foot bush call out as I walked by. I just knew my calling was a prophet. I was like Moses. I also heard God from a bush! (Exodus 3:2).

My chosen, eternal destiny was to save it. I grabbed and scootched it toward the check-out line. After a few minutes the bush was insanely heavy and I saw that the line was very long.

After some time I finally abandoned the tree in the middle of the check-out line. It seems I did have some moments of clarity, even at my strangest. It was a weird experience. (What can I say, I’m a sucker for talking bushes.) 

I was told later that over hundred people were praying for me.

Finally, at my worst, I reached into my pack and there was this CD. I began to listen to it, and imperceptibly began to be restored to some semblance of sanity. My thinking was clearer and I would finally find my way back to where I was staying.

King Saul, in his own weak grip on sanity, was ministered to by David’s music.

One song on the CD in particular ministered to me. It’s called “Kyrie Eleison,” which is Latin for “Lord Have Mercy.”

Kyrie Eleison Lyrics

Verse 1
Empty broken here I stand,
Kyrie eleison,
Touch me with Your healing hand,
Kyrie eleison,
Take my arrogance and pride,
Kyrie eleison,
wash me in Your mercy’s tide,
Kyrie eleison.

Chorus–
Kyrie eleison,
Christe eleison,
Kyrie eleison,

Verse 2
When my faith is all but gone,
Kyrie eleison,
Give me strength to carry on,
Kyrie eleison,
when my dreams have turned to dust,
Kyrie eleison,
In You O Lord I put my trust,
Kyrie eleison.

Chorus:
Kyrie eleison,
Christe eleison,
Kyrie eleison,

Verse 3
When my heart is cold as ice,
Kyrie eleison,
Your love speaks of sacrifice,
Kyrie eleison,
Love that sets the captives free,
Kyrie eleison,
O pour compassion down on me,
Kyrie eleison.

Repeat Chorus

Verse 4
You’re the voice that calms my fears,
Kyrie eleison,
You’re the laughter dries my tears,
Kyrie eleison,
You’re the music, my refrain,
Kyrie eleison,
Help me sing my song  by Text-Enhance” href=”http://www.thelyricarchive.com/song/2258792-376352/Kyrie-Eleison-(Love-Have-Mercy)#”>again,
Kyrie eleison.

Repeat Chorus

Verse 5
Humble heart of holiness,
Kyrie eleison,
Kiss me with Your tenderness,
Kyrie eleison,
Jesus, faithful Friend and true,
Kyrie eleison,
All I am I give to You,
Kyrie eleison.

Repeat Chorus 

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